Resolution of Recurrent Acute Otitis Media in a Child Undergoing Chiropractic Care: A Case Report
SOURCE: Journal of Clinical Chiropractic Pediatrics 2015; 15 (1) ~ FULL TEXT
Karine Dunn-Sigouin, DC
Private practice,
Saint-Zotique, Quebec, Canada
Objective: Discuss the chiropractic management of a pediatric patient suffering from recurrent acute otitis media.
Clinical features: 23-month-old female presenting with 6 acute otitis media episodes since the age of 6 months. Parents are alerted to otitis media symptoms when the child pulls on the ear and cries. Current allopathic treatment consists of antibiotic therapy but episodes of otitis media are still recurrent.
Intervention and outcomes: The patient received 6 full spine diversified chiropractic adjustments with myofascial release of cervical muscles and effleurage of the frontal and maxillary sinuses over the course of one month. Treatment protocol was then changed to 1 visit per 2 weeks, 1 visit per month and lastly, prevention visits at 1 visit per 2 months or whenever the patient presented with cold symptoms. During the year following the first chiropractic treatment, the patient continued chiropractic care every two months and has had no reoccurrence of AOM.
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Conclusion: This case suggests that chiropractic care may be a natural, effective and low risk approach to treating recurrent acute otitis media in the pediatric patient.
Key words: otitis media, treatment, chiropractic, pediatric, manipulation.
From the Full-Text Article:
Introduction
Otitis media (OM) is a common condition among the pediatric population. It accounts for approximately 40% of antibiotic prescriptions [1] in children under age 5 and represents the number one reason for pediatric medical visits. [2] The peak incidence of OM is situated between 6 and 24 months with two thirds of children receiving the diagnosis by age 2. Of those diagnosed, a third will have had 3 or more episodes. [3] Risk factors for OM include young age, daycare attendance, male gender, exposure to second-hand smoke, upper respiratory tract infection, repeated antibiotic therapy and short duration of breastfeeding.
OM can be subdivided into acute otitis media (AOM), otitis media with effusion (OME) and middle-ear effusion (MEE). [4] By definition AOM is a bacterial and/or viral infection of the middle ear with a rapid onset of signs such as a cloudy, hemorrhagic or strongly red tympanic membrane (TM), bulging TM and/or a TM with impaired mobility. Possible symptoms of AOM include fever, excessive crying, otalgia and modified sleep or behavior among others. Recurrent AOM is defined by 3 or more well documented and separate AOM episodes in the preceding 6 months or 4 or more episodes in the preceding 12 months with at least 1 episode in the past 6 months.
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